Dove Pointe Residential Service Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

DDA1052304 Issued in MD

Legal business name

DOVE POINTE RESIDENTIAL SERVICE INC

Practice address

1225 Mt Hermon Road
Salisbury, MD 21804

Phone

(410) 341-4472

Fax

(410) 341-0927

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Donald B Hackett

Title

Executive Director

Phone

(410) 341-4472

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164455440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21802",
            "telephone_number": "410-341-4472",
            "fax_number": "410-341-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 MT HERMON ROAD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-341-4472",
            "fax_number": "410-341-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE POINTE RESIDENTIAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-341-4472",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": "DDA1052304",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "MD",
            "license": "2293615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard J Dormer Jr., DDS PA
• Jennifer Doty, PTA
• Patrick Porter Dougherty, PHARMD
• Tamara M Dougherty, LCPC
• Dove Pointe Inc
• Nathaniel Joseph Downing, DO
• Indre Besasparyte Doyle, CRNP
• Sarah Rebecca Doyle
• William Jay Doyle, M.D.
• Dr Alan W Hopson, P.a.

• Developmental Disabilities Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Developmental Disabilities Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.